Provider Demographics
NPI:1457017394
Name:MFUH, YVETTE CHIEMBOKEH
Entity Type:Individual
Prefix:
First Name:YVETTE
Middle Name:CHIEMBOKEH
Last Name:MFUH
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5448 PRAIRIE LACE LN
Mailing Address - Street 2:
Mailing Address - City:WICHITA FALLS
Mailing Address - State:TX
Mailing Address - Zip Code:76310-3605
Mailing Address - Country:US
Mailing Address - Phone:779-200-2038
Mailing Address - Fax:
Practice Address - Street 1:5448 PRAIRIE LACE LN
Practice Address - Street 2:
Practice Address - City:WICHITA FALLS
Practice Address - State:TX
Practice Address - Zip Code:76310-3605
Practice Address - Country:US
Practice Address - Phone:779-200-2038
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-11-15
Last Update Date:2021-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1058759363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily